LABORATORY INSPECTION CHECKLIST

Background information
Date Inspector
Building Room(s)
School & Department
PI Name
Email and phone
Group Safety Officer or Name
Lab Manager Email and phone
PI
Safety Officer
Inspector Accompanied by:
Lab Manager
Other (specify)

QC:
CTI?

Finding

Days
Code Finding Details Comments OK?

Y N N/A Y Y N
Missing or out-of-date Laboratory 20
a01
Hazard Assessment Tool (LHAT).
20
Missing or incorrect chemical
a02
inventory.
inventory.
Safety Data Sheets (SDSs) and 20
Documentation and Training

other applicable hazard

a03
information are not available, not
understood, or not read. services.
Hazardous material or class of 20
materials requiring SOP.
Standard Operating Procedures
a04
(SOPs) are not available.
process requiring SOP.

Procedure to report an 20
a05 occupational injury or illness is
not posted.
Personnel have not received 20
a06 appropriate initial or refresher and discussed with personnel.
training.

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QC:

CTI?
Finding

Days
Code Finding Details Comments OK?

Y N N/A Y Y N
20
Other documentation or training
a07 sheet not available.
deficiency.
Other (specify).
20
Defective building feature or
building.
b01 defective room fixtures and
fittings.
-related, e.g. defective floor. 5
b02 Tripping or slipping hazard. -related, e.g. extension cords,
pipes, spillage.
-related. 5
Obstructed passageway, PI-related.
b03 entrance, exit, door, or locked -related (e.g.
exit door. equipment in corridor)
Room

Improperly or defectively signed 20

emergency exit, incorrect or
b04
missing directional signage, or
non-exit not signed "not an exit".
20

Incorrect or missing room (e.g. laser warning)

b05
number or door sign. .
“PPE must be worn” on door of
room where it need not necessarily
be worn).
Dirt/contamination. 20
Clutter.
Environment

Excessive storage of
combustibles.
c01 Poor housekeeping.
Heavy items stored too high.
Combustibles stacked too close
to ceiling.
Other (specify).

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QC:

CTI?
Finding

Days
Code Finding Details Comments OK?

Y N N/A Y Y N
Defective HVAC, too hot/cold, 20
c02
or poor quality of incoming air.
FMS-related. 20
Suspected asbestos or ceramic
c03 -related, e.g. furnace, heating
fiber hazard.
mantle.
Insufficient provision for hand- Needs to be at least one sink in lab 20
d01
washing. with soap and paper towels.
Defective plumbing, faucet, or Look for leaking taps, blocked 20
d02
sink. sinks, etc.
20
Water

recirculated flow.
Improvised tubing or equipment
d03 -recirculating
poses a flooding risk.
water pipework not securely
fastened.
Water damage, dampness, 20
d04 condensation, active leak, mold,
fungus, or rot.
Defective or overloaded -current devices (e.g. 5
electrical outlet and/or hotplates, furnaces) on extension
e01
inappropriate extension cord cords or overloading outlets.
usage.
Defective or obstructed electrical 20
Electrical

e02 circuit breaker box (including box

with no circuit directory).
Other electrical hazard, e.g. -related. 20
exposed wiring, dangerous -related.
e03
improvised equipment, electrical
installation too close to water
Fire extinguisher requires 5
f01 maintenance and/or testing log is
Fire Equipment

not up to date.
Fire extinguisher is absent, 5
incorrect type, not visible, not extinguisher (flammable metals).
f02 accessible, not hung on the wall,
is obstructed, or needs
relocation.
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QC:

CTI?
Finding

Days
Code Finding Details Comments OK?

Y N N/A Y Y N
Visibly defective or obstructed 5
f03
smoke detector or sprinkler.
Emergency eyewash / shower / 20
g01 drench hose testing log not up-
to-date.
Emergency eyewash / shower /
drench hose is defective,
Safety Equipment

20
obstructed, non-code-compliant,
g02
missing, too far from lab, or
improperly signed. sec distant and/or more than one
intervening doorway).
Chemical spill cleanup supplies 20
g03
are not available. no appropriate supplies.
First aid kit / HF burn kit is not 20
available, inaccessible, missing.
g04
inappropriate, out of date, or
incorrectly signed
Improperly guarded, defective, Unguarded belt (IDLH). 20
dangerous, poorly-maintained, Contaminated.
h01 contaminated, inappropriately Other (specify).
sited, or inappropriately used
equipment.
Missing log book. 20
General Equipment

Missing instruction manual.

Missing SOP.
Hazardous equipment lacks
Missing training records or
warning signs, "Out of Service"
approved user list.
sign, a usage log, instruction
h02 Ultracentrifuge has no
manual, SOP, list of trained and
maintenance schedule, rotor-
approved users, or a maintenance
derating policy, rotor log.
schedule.
Out-of-use equipment not
signed “do not use”.
Other (specify).

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QC:

CTI?
Finding

Days
Code Finding Details Comments OK?

Y N N/A Y Y N
Uncontaminated outlet passing 20
Unsafe discharge of vacuum pump to lab without coalescing filter.
h03
exhaust Contaminated outlet passing to
lab.
Defective, excessively iced, Flammables in a non-explosion- 20
inappropriately sited, or proof unit.
i01
inappropriately used refrigerator
or freezer.
Fridge/Freezer

Unacceptably contaminated Check for noxious smell. 20

i02
refrigerator or freezer.
Glass container is in a freezer 20
i03
without secondary containment.
Missing “no food or drink” label. 20
Unlabeled or incorrectly labelled
i04 Missing “no flammable
refrigerator or freezer.
materials” label.
Defective fume hood / biosafety 5
j01
cabinet
Fume hood / biosafety cabinet 5
(BSC) internal airflow obstructed
j02 by overcrowding, shelf, or
equipment; or biosafety cabinet
external vent(s) obstructed.
Fume Hood/BSC

Sash wide open when working. 5

Incorrect fume hood / biosafety Sash not pulled down all the
j03
cabinet usage. way when not working.
Items too close to front.
Fume hood / biosafety cabinet / 20
biological glove box has not been
j04
tested / certified within the last
12 months.
Fume hood / biosafety cabinet 20
j05
signage absent or defective.
Other fume hood / biosafety 20
j06
cabinet finding

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QC:

CTI?
Finding

Days
Code Finding Details Comments OK?

Y N N/A Y Y N
Gas cylinders not properly 20
restrained
Cylinders in storage missing end
caps.
Flammables and oxidizers not
separated.
k01 Incorrect gas cylinder storage.
Cylinders surrounded by
flammables/combustibles.
Cylinders of hazardous gases
not turned off after use.
Highly toxic gases outside
ventilated enclosures.
Hazardous materials container or 20
storage cabinet is defective,
k02 corroded, contaminated, or
Hazardous Materials

emitting an odor or irritant

vapors.
Corrosive or especially 5
k03 hazardous materials stored above
eye level
Missing or unsatisfactory 20
k04
secondary containment.
k05 Unsafe storage of flammables. 20
Cabinet signed “Non-approved 20
Flammable storage cabinet does
k06 flammables cabinet — does not
not have a self-closing door.
qualify for MAQ increase.”
Peroxide formers. 5
Over-age or visibly-suspect time-
k07 Anhydrous HF cylinders.
sensitive chemicals.
Other (specify).
Highly toxic materials, regulated 20
precursor chemicals, or
k08
controlled substances are stored
with poor physical security.
Deficient labelling of hazardous 20
k09 materials container or storage
area.
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QC:

CTI?
Finding

Days
Code Finding Details Comments OK?

Y N N/A Y Y N
Incompatible chemicals stored 20
Other unsafe hazardous materials
k010 together.
storage practice.
Incorrect separation of waste 20
l01
streams.
Piranha solution or other Lab has written procedure for 5
hydrogen peroxide-containing hydrogen peroxide disposal.
l02
material in non-vented container,
or mixed with other waste
Contaminated material in regular 20
l03
trash.
Regular trash in hazardous waste 20
l04
container.
Inappropriate, damaged, un- Un-capped container. 20
l05 capped, or externally
contaminated waste container.
Missing or unsatisfactory 20
Waste

l06
secondary containment.
Free-flowing liquids More than 5 mL free-flowing 20
l07 inappropriately mixed with solid liquid in a biohazard waste
chemical or biohazardous waste. container.
Overfull container or over-large 20
l08
items in small container.
Solid waste bags are emitting an 20
l09
odor.
Items placed on top of waste 20
l010
containers.
Incorrect labelling of hazardous 20
l011
waste.
Accumulation start date on the 20
l012 chemical waste label is more than
nine months old.
Broken glass and/or sharps 20
Sharps/Bro
ken Glass

m01
container is missing.
Unattended broken glass or 0
m02
exposed sharps.
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QC:

CTI?
Finding

Days
Code Finding Details Comments OK?

Y N N/A Y Y N
Sharps are being transported 0
m03
improperly.
Evidence of needle recapping was 0
m04
found.
m05 Incorrect sharps disposal. 0
m06 Incorrect broken glass disposal. 20
Broken glass container appears to 20
m07 contain contaminated material, or
is emitting an odor.
Broken glass and/or sharps 20
container is missing hazardous
m08
waste label if it is being used for
contaminated items.
Inappropriate mercury Hg thermometer in oven, or 20
n01
thermometer usage or storage. heating bath.
Mercury-containing bottle or 20
Mercury

n02 device has no or insufficient

secondary containment.
Mercury bubbler discharges into 20
n03
lab air.
PPE is not available, not worn, or 0
p01 is not correctly matched to the
hazards.
Personnel exit the lab without 20
p02 removing personal protective
PPE

equipment/clothing (PPE).
Re-use of disposable gloves. 5
p03 Incorrect glove usage.
Respirator usage outside of the 20
p04
EH&S respirator program.
Evidence of food/drink was found 0
Practice

q01 in work area containing

s

hazardous materials.

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QC:

CTI?
Finding

Days
Code Finding Details Comments OK?

Y N N/A Y Y N
Personnel were observed 20
touching potentially hazardous
q02 material with bare skin or leaving
work area without washing
hands.
Carcinogenic, cumulatively toxic, 5
sensitizing, or highly toxic
materials in chemical inventory,
q03 but no evidence of
engineering/administrative
controls to prevent
dispensing/weighing in open lab.
Material posing inhalation hazard 0
is used outside of fume hood, or
work requiring respiratory
q04 protection is being done in a non-
approved area where the
respiratory hazard may spread to
unprotected persons
Bottle carriers not available or Question personnel. If glass bottles 20
q05 hazardous materials observed to are ever carried from the lab, a
be transported in unsafe manner. bottle carrier must be available.
Enter improperly restrained gas 20
Seismic

Tall and/or hazardous items not

Safety

r1 cylinders (and Dewars) under k01,

properly restrained.
not here.
Lack of signage or labelling Only use this code as a last resort. 20
s01
(specify).
Miscellaneous

Other hazardous condition or Only use this code as a last resort. 20

s02
unsafe practice.
Congratulations! No safety issues
s03 were found during the safety
assessment of your area.

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Quality Control
QC Inspection by: Date:
Accompanied by:

Comments

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